But combined with other recent actions by the Trump administration, the decision sets a negative tone, Hoagland said.

Since Republican campaigns to kill Obamacare failed in Congress past year, the Trump administration has been taking every opportunity to sabotage the Affordable Care Act.

Not only is the administration gutting the program, it's making them help people enroll in the plans Trump has concocted that don't comply with the consumer protection standards and other requirements of the law.

Under the risk adjustment program, insurers with healthier patients pay those with sicker patients. It's the only remaining risk mitigation program in Obamacare. This follows the failure of several attempts by the Republican-controlled Congress past year to repeal and replace it.

The president last fall issued an executive order to try to make it easier for individuals and small businesses to buy health plans that cost less than ACA coverage because they cover fewer services and bypass rules meant to protect people from previous practices in which insurers charged higher prices to women, older people and those with pre-existing medical conditions. They are now deciding which exchanges they will participate in next year and what premiums they'll charge. "As a result of this litigation, billions of dollars in risk adjustment payments and collections are now on hold".

Insurers were required to meet a June deadline to say in which in counties they'll sell insurance, as well as which kind of plans - so those are locked in, pending a state review.

One of the most popular parts of the Affordable Care Act: the fact no one can be denied coverage, regardless of pre-existing conditions.

Since Congress was unable to pass such a law, Trump and his aides have been taking a series of steps to weaken the law through administration maneuvers.

Even with these concerns, insurers are more confident about participating in Obamacare. Rising premiums can eat into household budgets, and people who make too much money to qualify for federal help - but not enough to carry a heavier insurance burden on their own - could opt to go without coverage.

So the suspension of risk adjustment payments could throw the rate-filing process into chaos, said Cynthia Fox, director of health reform and private insurance at Kaiser Family Foundation. "Costs for taxpayers will rise as the federal government spends more on premium subsidies", said a statement from America's Health Insurance Plans, a health insurance industry trade group.

Anthem, one of the largest carriers in the individual market, could lose out on $500 million in payments, according to a JPMorgan analyst estimate. Anthem declined comment on its specific circumstances.

Molina, on the other hand, won't have to send almost $1 billion, while Centene can avoid paying hundreds of millions of dollars to the program ... at least for now, JPMorgan projected. The judge was ruling in a case filed by a small nonprofit, which argued that the program's formula disproportionately favored big insurers.

Speaking for the navigators, Fred Ammons, who supervises the Insure Georgia organization, said: "This is a huge cut to navigator programs across the country". "There is just one twist after another".

The Trump administration is bound by a federal court decision to suspend billions of dollars in ObamaCare payments, Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma said Thursday.

She noted the Trump administration views state flexibility as important, and is committed to granting as much of it as possible.

"I can not justify paying that much money for a health-care service that I use once a year", she said.

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